DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Myatt, Sandra L	DOIID	338715	NAIC NPN	7186478

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/26/1999	1/31/2006
Inactive	Resident	Agent	Life	10/26/1999	1/31/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	2/14/2000	5/20/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	2/14/2000	5/20/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/26/1999	1/17/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	10/26/1999	1/17/2000
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/31/2000	1/31/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/31/2000	1/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior American Benefits, LLC	502287	Agent - Life	3/16/2000	3/5/2001
Inactive	Senior American Benefits, LLC	502287	Agent - Health	3/16/2000	3/5/2001